| NPI | 1447714464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11001186) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 122823) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-02-07 |