| NPI | 1376015347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11001004) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 125397) |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2019-03-29 |