| NPI | 1770530214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 227559) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 55563) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2024-02-05 |