| NPI | 1982940128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2683) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN176450) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209010088) | |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2023-12-08 |