| NPI | 1306361530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1036120) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MN 190132-8) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 220092-30) | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2022-04-08 |