| NPI | 1780989095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 85314) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 738279) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2022-03-14 |