| NPI | 1457012452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 109195538901) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 109195534406) |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-03-06 |