| NPI | 1770390627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1179300) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 151740) |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2025-01-29 |