| NPI | 1861014557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11007354) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 131501) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-07-02 |