| NPI | 1376796094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL aprn11024973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 563351-1) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2315274) | |
| Enumeration Date | 2008-10-25 |
| Last Update Date | 2023-10-19 |