| NPI | 1932590759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN210247) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 105205) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2020-10-28 |