| NPI | 1588343578 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1135577) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 856736) | 
| Enumeration Date | 2023-07-17 | 
| Last Update Date | 2023-09-28 |