| NPI | 1508628298 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1190682)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 252037)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-01-29 | 
| Last Update Date | 2025-02-18 |