| NPI | 1811387608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9229852) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9229852) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN784842) | |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2025-04-29 |