| NPI | 1831939073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002367) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: CA 95002367) |
| Enumeration Date | 2024-05-27 |
| Last Update Date | 2024-09-11 |