| NPI | 1124172101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA3526) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 589902) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2026-09-03 |