| NPI | 1033720461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 11919050-4406) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 129222) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2021-10-28 |