| NPI | 1780960997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 490) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 088194) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2024-09-19 |