| NPI | 1013545664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11008593) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: VA 0001224821) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-12-02 |