| NPI | 1659915569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11005997) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9364042) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11005997) | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2020-02-17 |