| NPI | 1760712459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9172220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9172220) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2013-10-01 |