| NPI | 1275200180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11015293) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PR 135759) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2025-02-26 |