| NPI | 1245916865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11036705) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9557890) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024187891) | |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2025-02-12 |