| NPI | 1891302873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11010618) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9407952) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2021-02-24 |