| NPI | 1780788471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 12221) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 43928) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 466) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2023-08-16 |