| NPI | 1093504276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1204498) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 960953) |
| 207L00000X Anesthesiology (Licence: TX 1204498) | |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-08-19 |