| NPI | 1750094876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN254933) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 228994) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-08-13 |