| NPI | 1770958480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20868) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 123489) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2024-04-17 |