| NPI | 1568090215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11019762) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 137982) |
| 163W00000X Registered Nurse (Licence: FL RN9384499) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-07-31 |