| NPI | 1376077149 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9324212)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9324212)  | 
| Enumeration Date | 2017-04-18 | 
| Last Update Date | 2018-09-10 |