| NPI | 1639915705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 13442) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 148373) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-09-26 |