| NPI | 1265460083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 212883) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA MD.09938) |
| 207L00000X Anesthesiology (Licence: GA 93607) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2024-12-20 |