| NPI | 1346207206 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11015067)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704190395)  | 
| Enumeration Date | 2006-04-26 | 
| Last Update Date | 2025-02-03 |