| NPI | 1558037366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1109100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 904828) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2023-04-12 |