| NPI | 1902306020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 800680) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 800680) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 120943) | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2020-04-27 |