| NPI | 1871752782 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN325128)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA-726)  | 
| Enumeration Date | 2008-06-05 | 
| Last Update Date | 2024-06-19 |