| NPI | 1730495490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 4261) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 73726) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2022-03-03 |