| NPI | 1245282284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0024168704) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0001138730) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 174543) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-10-14 |