| NPI | 1700857059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024167211) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 557126) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-10-28 |