| NPI | 1619482205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9474040) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL arnp9474040) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 117969) | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2019-08-02 |