| NPI | 1477256246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11033165) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704371634) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2024-10-21 |