| NPI | 1841714052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL aprn9335028) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL rn9335028) |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2019-12-16 |