| NPI | 1619382264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1072243) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 116941) |
| 163W00000X Registered Nurse (Licence: OK 86908) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 86908) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-12-01 |