| NPI | 1265823934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11007257) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11007257) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2282290) | |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2023-05-02 |