| NPI | 1720096548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21309) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 24164246) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2023-08-16 |