| NPI | 1699912808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 4117) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 4117) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 075037) | |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2021-01-15 |