| NPI | 1851042857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1073748) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 8054927-3102) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2023-11-10 |