| NPI | 1295563427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1217655) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 205061) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2026-03-05 |