| NPI | 1700988367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11001980) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: VT 101-0025491) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2024-06-28 |