| NPI | 1205336484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM CRNA-01526) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 7600453-3102) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |