| NPI | 1124592811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11002919) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95033114) |
| 163W00000X Registered Nurse (Licence: FL 9331382) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2020-01-27 |