| NPI | 1063784999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL RN9182416) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 968496) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2026-03-27 |