| NPI | 1912405960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25026) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 682389) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2022-01-07 |