| NPI | 1124771431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11037392) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9674909) |
| 163W00000X Registered Nurse (Licence: PA RN706819) | |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2025-02-03 |