NPI | 1902263361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130110) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024177006) |
Enumeration Date | 2016-01-15 |
Last Update Date | 2025-09-26 |