| NPI | 1962009159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 264592) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 27855) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2023-04-22 |