| NPI | 1861940694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11000691) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 6740) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2021-01-11 |