| NPI | 1053933622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11020029) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9506168) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 137976) | |
| Enumeration Date | 2020-05-17 |
| Last Update Date | 2025-07-09 |