| NPI | 1619226073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024195841) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1022177) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1022177) | |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2026-01-19 |