| NPI | 1912589771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11013203) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9343903) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-07-12 |