| NPI | 1649836826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2686) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 26213) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2022-04-04 |