| NPI | 1508326554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11003114) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9331317) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2020-05-29 |