| NPI | 1851178669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10021256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 872127) |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2024-03-21 |