| NPI | 1013479146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11002654) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9355006) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11002654) | |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2021-01-06 |