| NPI | 1508548074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1136501) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR 101421) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 144998) | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-09-18 |