| NPI | 1922008432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 1753) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 60662) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2021-10-27 |