| NPI | 1972538809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3006105) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 002325) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-03-01 |