| NPI | 1114525391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC003534) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9323382) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 132156) | |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2021-02-26 |