| NPI | 1518231307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 732464) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 79503) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2024-01-25 |