| NPI | 1700893419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL L.5699R) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 046988) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2022-08-31 |