| NPI | 1417686148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 765983) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 902070) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 902070) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 13184) | |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2024-08-19 |