| NPI | 1982198743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 25102) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 300252) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2022-03-31 |