| NPI | 1912003609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN2170552) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 049450-23-11) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2022-03-09 |