| NPI | 1518595255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11019603) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 163WG0000X Registered Nurse, General Practice (Licence: FL RN9286652) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2022-05-13 |