| NPI | 1003524869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX 138849) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1105346) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2023-01-11 |