| NPI | 1902881030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 749868) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3006331) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 5154) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2018-07-17 |