| NPI | 1124774344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11032848) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9514853) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2024-07-25 |