| NPI | 1609564848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024192542) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 870561) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2026-04-27 |