| NPI | 1871523365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101487) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA 114050) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-09-12 |