| NPI | 1972331411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10024236) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 149014) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-26 |