| NPI | 1063855633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL Rn9292378) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL rn9292378) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2014-06-05 |