| NPI | 1346700655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1048205) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 116740-23) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2026-02-24 |