| NPI | 1245774702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024186133) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0024186133) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0024186133) | |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2026-01-15 |