| NPI | 1659969327 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 288810) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 133918) | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11011036) | |
| Enumeration Date | 2021-01-07 | 
| Last Update Date | 2025-05-21 |