| NPI | 1649788076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024175836) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 111844-23) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 120758) | |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2024-07-19 |