| NPI | 1881964385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17893) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 89907) |
| Enumeration Date | 2011-12-31 |
| Last Update Date | 2022-01-28 |