| NPI | 1679111702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC005177) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 794301) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP144730) | |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2025-08-14 |