| NPI | 1871729509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9323177) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 4123) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2023-12-03 |