| NPI | 1609838366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11007066) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 11245) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2022-12-06 |