| NPI | 1720314503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9203457) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: FL RN9203457) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2012-06-18 |