| NPI | 1790930097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R159792) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD R159792) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2023-08-16 |