| NPI | 1780091314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20365) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 103451) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2019-08-02 |