| NPI | 1134998792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1150840) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 147634) |
| Enumeration Date | 2023-12-25 |
| Last Update Date | 2024-03-14 |