| NPI | 1194112482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11038397) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704310398) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN10000050) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2025-09-23 |