| NPI | 1619623931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11033550) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 9345917) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2025-02-27 |