| NPI | 1306445762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1027789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 879580) |
| 163W00000X Registered Nurse (Licence: FL 9490601) | |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2021-01-22 |