| NPI | 1053508101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 033984) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9187191) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2009-07-27 |