| NPI | 1912577594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-164536) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL D.0004856) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2023-05-25 |