| NPI | 1073129318 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11015007)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL RN9370723)  | 
| Enumeration Date | 2020-09-22 | 
| Last Update Date | 2022-01-17 |