| NPI | 1982685145 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9191882)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 124368)  | 
| Enumeration Date | 2005-11-07 | 
| Last Update Date | 2016-12-29 |