| NPI | 1306143193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9312060) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: FL ARNP9312060) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2020-05-26 |