| NPI | 1467790717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 1-112103) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AL 1-112103) |
| 363L00000X Nurse Practitioner (Licence: AL 1-112103) | |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2024-01-31 |