| NPI | 1376274027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11021784) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000208272) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-10-05 |