| NPI | 1629648167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25163) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 25163) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 132030) | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-08-23 |