| NPI | 1831739408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP144820) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 981200) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2023-03-09 |