| NPI | 1942251343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 2589) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APN 2589) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1096628) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-09-11 |