| NPI | 1710580204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11023694) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 903723) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2024-11-27 |