| NPI | 1194337626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1128221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN179297) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-07-25 |