| NPI | 1023766748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 008103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9437574) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11023887) | |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2025-12-04 |