| NPI | 1942202148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN3411832) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 3411832) |
| 174400000X Specialist (Licence: FL ARNP3411832) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN-TEMP7405) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2024-11-13 |