| NPI | 1760933725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP132664) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 798739) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2022-05-04 |