| NPI | 1881929818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 14944) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 6214A) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2022-03-15 |