| NPI | 1609696632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1229242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 973535) |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2026-05-21 |