| NPI | 1518614882 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1085161) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN269932) | 
| Enumeration Date | 2022-03-07 | 
| Last Update Date | 2023-04-13 |