| NPI | 1053974055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11003265) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 123136) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2022-02-09 |