| NPI | 1790337343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 230726) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 119966) |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2019-08-29 |