| NPI | 1669434932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 137557) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 231115) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-10-12 |