| NPI | 1073279733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA GAA-CRNA003530) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9575878) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11030357) | |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2025-07-10 |