| NPI | 1912596586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2021003723) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 131157) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2022-09-15 |