| NPI | 1710064076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3291) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 520279) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-01-31 |