| NPI | 1972013696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9358923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 2187958) |
| Enumeration Date | 2017-10-08 |
| Last Update Date | 2022-07-06 |