| NPI | 1467969683 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP136331)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 805419)  | 
| Enumeration Date | 2018-01-09 | 
| Last Update Date | 2023-06-20 |