| NPI | 1114985306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP106505) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 568322) |
| 163W00000X Registered Nurse (Licence: TX 568322) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2026-03-23 |