| NPI | 1285472530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1177712) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 960549) |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2026-02-27 |