| NPI | 1972689610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00519) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0032829) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN553164) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-10-05 |