| NPI | 1215175534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9298420) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: WV 63121) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2023-07-22 |