| NPI | 1902080229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN170157) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 14-98084-101) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2022-10-12 |