| NPI | 1619164480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP 9363178) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 144650) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2017-04-11 |