| NPI | 1508446220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1126417) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9435941) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11026430) | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2023-06-30 |