| NPI | 1700885233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 256133) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 488121) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2021-05-14 |