| NPI | 1679313449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1177370) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN270801) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2025-01-13 |