| NPI | 1184129900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11009806) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2298272) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 317120) | |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2022-09-13 |