| NPI | 1659638203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R177187) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9286296) |
| 163W00000X Registered Nurse (Licence: PA RN635706) | |
| 163W00000X Registered Nurse (Licence: MD R177187) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2024-05-07 |