| NPI | 1871091967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901741) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA AP09711) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2022-01-11 |