| NPI | 1497502207 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11032916) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9424972) | 
| Enumeration Date | 2024-05-01 | 
| Last Update Date | 2024-11-18 |