| NPI | 1972925253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA RN10025381) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9274074) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9274074) | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2025-06-09 |