| NPI | 1942850979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 129794) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9409424) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2020-01-04 |