| NPI | 1659969327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 288810) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 133918) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2023-11-02 |