| NPI | 1992750574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 4121) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C01339) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AR R52311) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-02-01 |