| NPI | 1881654176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP128864) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 100800) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000608) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2022-10-20 |