| NPI | 1376112813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11019896) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9409505) |
| Enumeration Date | 2021-06-20 |
| Last Update Date | 2022-06-13 |