| NPI | 1710023015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 1622) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 69032) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-01-26 |