| NPI | 1578228730 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP1066059) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 832001) | 
| Enumeration Date | 2021-11-03 | 
| Last Update Date | 2022-03-09 |