| NPI | 1821335308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 9884847-4406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R038378) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4397) | |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2021-11-03 |