| NPI | 1639612096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP 9440334) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL R9440334) |
| 163W00000X Registered Nurse (Licence: VA 0001228008) | |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2023-03-10 |