| NPI | 1720667405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 14841) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 085308-23) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 284827) | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2024-05-30 |