| NPI | 1760893358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024172641) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 215448) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2022-11-19 |