| NPI | 1760653570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6015) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 308964) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9265693) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2020-08-24 |