| NPI | 1497593503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1215677) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 86421) |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2026-03-13 |