| NPI | 1821680240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 28860) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 28860) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |