| NPI | 1649904962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1182022) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 29705) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 210391) | |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2025-07-30 |