| NPI | 1285409854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11044634) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001313852) |
| Enumeration Date | 2023-11-23 |
| Last Update Date | 2026-06-29 |