| NPI | 1174674063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP100837) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 11409) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 113789) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2025-06-17 |