| NPI | 1912590019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 259175) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN189948) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11028132) | |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2025-05-05 |