| NPI | 1568934636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11001070) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 122240) |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2019-02-04 |