| NPI | 1427004910 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 651519) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N33277) | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA596) | |
| Enumeration Date | 2006-05-26 | 
| Last Update Date | 2021-12-08 |