| NPI | 1952392540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 5918) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 188755) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2000151476) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2023-03-02 |