| NPI | 1851640007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11013504) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 602338) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2023-05-16 |