| NPI | 1952723629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID rna-953a) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 069062-23) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2021-11-30 |