| NPI | 1942568613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17813) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC AANA 89894) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2022-01-05 |