| NPI | 1144825456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11010840) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL RN9409859) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2025-02-03 |