| NPI | 1124461595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 92501) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9234896) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |