| NPI | 1821140062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60130570) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ANT 9193314) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.006522) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-05-06 |