| NPI | 1881696615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN228882) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3014480) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9341238) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IA 091105) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2021-05-19 |