| NPI | 1962550533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 25936) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: HI RN-45519) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2022-04-05 |