| NPI | 1710362330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9476925) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 245806) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2018-03-20 |