| NPI | 1962141069 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-157927)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 137069)  | 
| Enumeration Date | 2022-05-27 | 
| Last Update Date | 2022-08-12 |