| NPI | 1053851980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9309594) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA TLRN074037) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 115439) | |
| Enumeration Date | 2017-02-25 |
| Last Update Date | 2024-07-11 |