| NPI | 1750701009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D133501) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 133501) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2021-04-06 |