| NPI | 1689065740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN713111) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3009215) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 23645) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2019-02-12 |