| NPI | 1154324697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 762365) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 103108) |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2025-09-12 |