| NPI | 1902646631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 317655) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11032878) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D185315) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101846) | |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2025-09-17 |