| NPI | 1386198042 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 8875) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9329406) | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 650993) | |
| Enumeration Date | 2016-08-11 | 
| Last Update Date | 2025-03-25 |