| NPI | 1922087303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN288716) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 171776) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2020-05-30 |