| NPI | 1578302188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11047574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9434115) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2026-06-08 |