| NPI | 1689923401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901404) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 16925) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2024-06-24 |