| NPI | 1245741107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP136868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN212095) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2020-05-21 |