| NPI | 1639801202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11036796) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN258811) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN258811) | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2025-05-28 |