| NPI | 1245704022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177170) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL Aprn11014982) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2022-10-20 |