| NPI | 1003388695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11000946) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9304200) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2019-02-11 |