| NPI | 1609305762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1011765) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9398092) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60854652) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2023-11-16 |