| NPI | 1508570920 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11023823) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4037662) | 
| Enumeration Date | 2023-01-10 | 
| Last Update Date | 2025-10-24 |