| NPI | 1912632050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1077470) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 1077470) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2025-08-27 |