| NPI | 1588332274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 1000179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704329710) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2024-10-12 |