| NPI | 1790051860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL RN9194437) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 724881) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2022-09-27 |