| NPI | 1780036160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7135) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 108041) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2024-10-22 |