| NPI | 1225035249 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP3145432)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-061909)  | 
| Enumeration Date | 2005-07-05 | 
| Last Update Date | 2017-02-06 |