| NPI | 1699222307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 112986) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9351241) |
| 163W00000X Registered Nurse (Licence: TN RN0000191642) | |
| Enumeration Date | 2016-09-10 |
| Last Update Date | 2020-10-30 |