| NPI | 1003280835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1019649) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 476365048) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2022-01-19 |