| NPI | 1821079054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP3339662) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 38199) |
| Enumeration Date | 2005-11-05 |
| Last Update Date | 2015-04-03 |