| NPI | 1093554719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11039656) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9518708) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2026-01-29 |