| NPI | 1831734219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11005414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9383336) |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2020-01-07 |