| NPI | 1134790082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 147576) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95085159) | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2025-03-03 |