| NPI | 1740848332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL APRN1105412) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL RN9385027) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 139801) | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2024-04-30 |