| NPI | 1871604223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11015646) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: VT 101-00198001) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-06-03 |