| NPI | 1871966234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9447736) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20781) |
| Enumeration Date | 2015-11-07 |
| Last Update Date | 2019-08-22 |