| NPI | 1922516046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 26805) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 246595) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2022-03-18 |