| NPI | 1770057408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11000938) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9501724) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |