| NPI | 1770172942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11010935) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11010935) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2023-11-22 |