| NPI | 1619398443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 705867) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO C-APN.0103464-C-CRNA) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2025-06-05 |