| NPI | 1588646046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN1836632) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: FL 18336632) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2018-12-04 |