| NPI | 1487296190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 8171770-4406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95140095) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2024-03-04 |