| NPI | 1205206794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP129930) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 726263) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2021-04-30 |