| NPI | 1780026872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 84485) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657913) |
| 207L00000X Anesthesiology (Licence: MO 2019022910) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2024-10-24 |