| NPI | 1295199669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1212550) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 636285) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2025-09-16 |