| NPI | 1104577634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95001695) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL APRN11017348) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-11-22 |