| NPI | 1689062168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11038921) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 105633) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2025-06-27 |