| NPI | 1013587294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1195341) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 884256) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2026-09-09 |