| NPI | 1124654041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11008740) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PR CRNA34687) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-08-20 |