| NPI | 1982941688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 24955) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 240287) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2022-01-25 |