| NPI | 1548667496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 35794) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3009194) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 35794) | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2024-10-28 |