| NPI | 1801820352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN117469) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000148) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 258895) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-12-20 |