| NPI | 1184114233 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP137764) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 855146) | 
| Enumeration Date | 2018-05-15 | 
| Last Update Date | 2018-07-23 |