| NPI | 1033621545 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11022290)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2376552)  | 
| 163W00000X Registered Nurse (Licence: NY 644133)  | |
| Enumeration Date | 2017-10-25 | 
| Last Update Date | 2025-10-24 |