| NPI | 1740669787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11019520) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2074) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 670477) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 907485) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11019520) | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2026-02-27 |