| NPI | 1750850871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2319) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 193597) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2024-05-16 |