| NPI | 1275661027 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN1699282) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 1699282) | 
| Enumeration Date | 2007-03-02 | 
| Last Update Date | 2020-02-18 |