| NPI | 1548250145 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 41430)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 508249)  | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP103737)  | |
| 163W00000X Registered Nurse (Licence: TX RN508249)  | |
| 363L00000X Nurse Practitioner (Licence: TX AP103737)  | |
| Enumeration Date | 2005-10-25 | 
| Last Update Date | 2018-09-21 |