| NPI | 1578106415 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP145057)  | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 882291)  | 
| Enumeration Date | 2019-10-23 | 
| Last Update Date | 2020-03-02 |