| NPI | 1487164299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP136096) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R209773) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 28075) | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2026-01-21 |