| NPI | 1205990934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11006355) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA rn286028l) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 100029) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-02-01 |