| NPI | 1174153654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11006090) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9336716) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2024-01-10 |