| NPI | 1720357288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9419916) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9419916) |
| 207L00000X Anesthesiology (Licence: MA RN268579) | |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2023-03-28 |