| NPI | 1639724032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 206907) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 808882) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2021031893) | |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2023-05-16 |