| NPI | 1578210761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11032875) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9436411) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2024-05-21 |