| NPI | 1063365302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11048396) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL RN9527763) |
| Enumeration Date | 2026-02-17 |
| Last Update Date | 2026-08-07 |