| NPI | 1487085817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11048881) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 5640) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2026-09-01 |