| NPI | 1679203798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 852498) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 250035) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-11-16 |