| NPI | 1811510993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024184267) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 131207) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2022-08-10 |