| NPI | 1043735657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 119314) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA GAA-CRNA001343) |
| 163W00000X Registered Nurse (Licence: FL RN9400752) | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2025-02-06 |