| NPI | 1639107220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 228702) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 082012257CRNA) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2021-08-27 |