| NPI | 1720446578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 3071752) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 3071752) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2018-03-17 |