| NPI | 1710402391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5740) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 231969) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2023-04-13 |