| NPI | 1336823855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1126803) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 143272) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2025-05-23 |