| NPI | 1831418482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN145060) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 238091) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2020-08-19 |