| NPI | 1821654922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11040360) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 126192) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2025-11-05 |