| NPI | 1619446085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11000911) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9431218) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2019-09-06 |