| NPI | 1699875278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: OR 201509262CRNA-PP) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00526) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 533574-1) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201509262CRNA-PP) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2024-06-03 |