| NPI | 1851805402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL RN9470416) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-122808) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-17 |