| NPI | 1285061192 |
|---|---|
| Former Name | JEANNETTE ULLOA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 93346) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 680657) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2022-04-28 |