| NPI | 1588136774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11000812) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9501180) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2019-05-29 |