| NPI | 1861112641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024185356) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 138944) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2023-04-11 |