| NPI | 1093256778 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9327911) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 514493) | 
| 163W00000X Registered Nurse (Licence: FL RN9327911) | |
| Enumeration Date | 2017-03-15 | 
| Last Update Date | 2025-05-22 |