| NPI | 1003834201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9487901) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 46513) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-01-28 |