| NPI | 1700428562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 142-17) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2024-05-14 |