| NPI | 1437698545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9308495) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9308495) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 23017) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2021-02-11 |