| NPI | 1336890359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1196948) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 16221) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 223878) | |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2025-08-25 |