| NPI | 1558171116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1181828) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 153389) |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-08-19 |