| NPI | 1689132276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP140338) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP140338) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2023-01-27 |