| NPI | 1013916832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN1626562) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1057643) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2021-03-17 |