NPI | 1407394331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9344495) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9344495) |
Enumeration Date | 2017-02-12 |
Last Update Date | 2025-01-28 |