| NPI | 1134628928 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP141453) | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9221739) | 
| Enumeration Date | 2018-02-07 | 
| Last Update Date | 2025-08-04 |