| NPI | 1275049256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1084895) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 119308) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2022-08-22 |