| NPI | 1639403553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1043450) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 559373) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2022-10-12 |