| NPI | 1124129812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9415573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 124947) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 073400) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-01-08 |