| NPI | 1528528403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11006910) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11006910) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 128706) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2021-06-28 |