| NPI | 1265187819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11019591) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL RN9448689) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704311252) | |
| Enumeration Date | 2022-02-12 |
| Last Update Date | 2025-03-19 |