| NPI | 1285312264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1114266) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: TX 1114266) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2026-08-26 |