| NPI | 1700843984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D142385) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 4090-33) |
| Enumeration Date | 2006-04-30 |
| Last Update Date | 2023-09-19 |