| NPI | 1124575782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 115057) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA RN590026) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2025-08-08 |