| NPI | 1770117889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11010698) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9486144) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2022-05-03 |