| NPI | 1619669686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1167329) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9466536) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2024-08-01 |