| NPI | 1841712288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA RN2315878) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 65324) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2021-11-22 |