| NPI | 1821091505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN7151) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN7151) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 129560) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2025-11-11 |