| NPI | 1922086982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R129665) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 33110) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2023-03-07 |