| NPI | 1710736954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002407) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 152304) |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-08-15 |