| NPI | 1952488652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NM 56610) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 589806) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-07-29 |