| NPI | 1962756668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002042) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 091072) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2023-08-30 |