| NPI | 1568188084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11034681) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 138406) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2025-09-01 |