NPI | 1861192379 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11040121) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9525699) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 9525699) | |
Enumeration Date | 2023-03-06 |
Last Update Date | 2025-06-20 |