| NPI | 1366748493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11018283) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 251168) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2023-01-05 |