| NPI | 1659904837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 26220) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 27013) |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2023-12-15 |