| NPI | 1770923963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN140690) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 000002) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2020-06-30 |