| NPI | 1972912137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11007536) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3011292) |
| 163W00000X Registered Nurse (Licence: NY 666880-1) | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2021-07-15 |