| NPI | 1821114398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20074) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 165289) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 077709) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-06-12 |