| NPI | 1821475534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101413) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D139868) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2020-09-03 |