| NPI | 1871835108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP134134) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0990787-CRNA) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: UT 5854533-3102) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2021-05-26 |