| NPI | 1053710780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 102316) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA233014) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 272169) | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2023-05-22 |