| NPI | 1992314702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11010741) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9412159) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2021-02-01 |