| NPI | 1982161170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11011333) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL aprn11011333) |
| 163WS0200X Registered Nurse, School (Licence: FL RN9278312) | |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2021-03-12 |