| NPI | 1588296289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 130743) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PR 35354) |
| 163WG0000X Registered Nurse, General Practice (Licence: FL 9425372) | |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2021-08-18 |