| NPI | 1790436533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 223890) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 223890) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2023-06-21 |