| NPI | 1891169082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2018034301) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20767) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 196190) | |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2023-03-13 |