| NPI | 1609080746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 3314562) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 3314562) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2022-01-26 |