| NPI | 1114754439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11042396) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 673205) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2025-10-08 |