| NPI | 1790148005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 277295) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 248794) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-12-05 |