| NPI | 1639521222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11001911) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704320204) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP11001911) | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2019-04-08 |