| NPI | 1578568143 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1058872)  | 
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0003498-CRNA)  | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 90919)  | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1528)  | |
| Enumeration Date | 2005-06-20 | 
| Last Update Date | 2025-03-17 |