| NPI | 1780221309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 27069) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 128761) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2020-09-10 |