| NPI | 1740451228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3587) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC R84770) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2022-02-01 |