| NPI | 1225504640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11000623) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9369757) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2019-01-22 |