| NPI | 1538409792 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11014453)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN204628)  | 
| Enumeration Date | 2013-02-26 | 
| Last Update Date | 2024-03-08 |