| NPI | 1285108381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11001042) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9432464) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11001042) | |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-04-03 |