| NPI | 1992242697 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11001963) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024174405) | 
| Enumeration Date | 2017-01-19 | 
| Last Update Date | 2025-07-16 |