| NPI | 1689167249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP141110) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001268600) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2019-03-25 |