| NPI | 1134963374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11048599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9513436) |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2026-08-04 |