| NPI | 1053916890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 134771) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 134771) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2023-10-09 |