| NPI | 1104661248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 159312) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 159312) |
| Enumeration Date | 2024-06-29 |
| Last Update Date | 2024-07-16 |