| NPI | 1831702372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1015525) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 129206) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2021-07-20 |