| NPI | 1700498698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1136805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95073525) |
| 163W00000X Registered Nurse (Licence: AZ 256741) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 256741) | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2025-08-14 |