| NPI | 1972294569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024187303) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 145057) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-07-28 |