| NPI | 1467268755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1189842) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 934651) |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2025-01-31 |