| NPI | 1639238348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 251083) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000769) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2021-03-18 |