| NPI | 1023627775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1007051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 715276) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2022-08-10 |