| NPI | 1659017853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 65512) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 100801) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2023-10-20 |