| NPI | 1639767916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6568) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 130598) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2022-07-28 |