| NPI | 1588179709 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9321339)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9321339)  | 
| Enumeration Date | 2017-12-11 | 
| Last Update Date | 2025-05-22 |