| NPI | 1699348243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 136782) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9345665) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11017480) | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-07-25 |