| NPI | 1982268363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11003607) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9438820) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-08-13 |