| NPI | 1720266430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 23505) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 67923) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2024-05-14 |