| NPI | 1962831636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA D184857) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9235549) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2025-07-25 |