| NPI | 1083926331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 6293838-8901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 6293838-3102) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 6293838-4406) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2021-11-04 |