| NPI | 1063929495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP136648) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 120599) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2023-08-24 |