| NPI | 1700372794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001321) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 118012) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2022-08-25 |