| NPI | 1972573418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 47037) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 82635) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA C184384) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-01-02 |