| NPI | 1861908295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 126200) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 97527) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2020-11-03 |