| NPI | 1902177876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 652566-1) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 11725) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2022-07-11 |