| NPI | 1982457925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN716773) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 155622) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2026-05-21 |