| NPI | 1710649678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1193194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 917919) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2025-03-20 |