| 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)  | 
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 114182-23)  | |
| Enumeration Date | 2013-10-09 | 
| Last Update Date | 2025-06-03 |