| NPI | 1336743376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11048402) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 804960) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2026-07-13 |