| NPI | 1962073403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9296925) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 142643) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-03-07 |