| NPI | 1164233797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11037054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9523582) |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-27 |