| NPI | 1093317679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1052250) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D185741) |
| 163W00000X Registered Nurse (Licence: MD R225189) | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2026-04-28 |