| NPI | 1417597287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1000056) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 129992) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2022-06-21 |