| NPI | 1568114924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11017767) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9435935) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 141083) | |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-02-07 |