| NPI | 1710142617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 2716692) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL RN 2716692) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2016-08-08 |