| NPI | 1942808803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11011070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9391976) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2021-02-05 |