| NPI | 1396474649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1153007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1061725) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2024-07-05 |