| NPI | 1952419418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000627) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD R030470) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2022-04-14 |