| NPI | 1124394911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP121799) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP06756) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 102099) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2024-11-01 |