| NPI | 1700353984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11000611) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 114286) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PR 114286) | |
| 163W00000X Registered Nurse (Licence: FL 9500025) | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2021-04-27 |