| NPI | 1790511970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11043795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 89893) |
| 163W00000X Registered Nurse (Licence: FL RN9613332) | |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2026-01-09 |