| NPI | 1811405970 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9345967) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL RN9345967) | 
| Enumeration Date | 2018-01-11 | 
| Last Update Date | 2018-09-20 |