| NPI | 1053594721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP116842) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2025-09-04 |