| NPI | 1780057976 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP13008) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 769405) | 
| Enumeration Date | 2015-11-10 | 
| Last Update Date | 2024-09-27 |