| NPI | 1801401641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11010149) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL x) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2024-09-27 |