| NPI | 1174243208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1206704) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 154805) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2025-07-25 |