| NPI | 1497213193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11006974) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9296200) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA TEMPAPRN0097) | |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2021-07-19 |