| NPI | 1164002580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11026953) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9312116) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1136372) | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2024-09-03 |