| NPI | 1023433638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL aprn11025627) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171422) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2023-10-04 |