| NPI | 1992503809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11039698) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-161953) |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-12-23 |