| NPI | 1811927619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 77346) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101562) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D158410) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-04-14 |