| NPI | 1063826089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP136657) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 616461) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2025-05-06 |