| NPI | 1619609468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 139713) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 786139) |
| 163W00000X Registered Nurse (Licence: GA RN289888) | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-09-28 |