| NPI | 1023604972 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1029009) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 878444) | 
| Enumeration Date | 2020-12-15 | 
| Last Update Date | 2025-09-17 |