| NPI | 1760243489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 239200) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 35512) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-07-17 |