| NPI | 1225402514 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130284)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024173329)  | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MT NUR-APRN-LIC-129657)  | |
| Enumeration Date | 2015-11-24 | 
| Last Update Date | 2018-07-24 |