| NPI | 1124003470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101263617) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9165869) |
| 207L00000X Anesthesiology (Licence: KY 55757) | |
| 207L00000X Anesthesiology (Licence: MD D84763) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME129270) | |
| 207L00000X Anesthesiology (Licence: FL ME129270) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME129270) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2026-01-23 |