| NPI | 1831581669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 144357) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557301) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2019-05-28 |