| NPI | 1316038532 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9232218)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9232218)  | 
| Enumeration Date | 2006-09-27 | 
| Last Update Date | 2021-06-23 |