| NPI | 1154092997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11033195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9418308) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2024-07-08 |