| NPI | 1851930523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 128752) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 128752) |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |