| NPI | 1932565702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6326) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 07286523) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2023-04-18 |