| NPI | 1902588510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1137358) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR 213529) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 145010) | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-11-20 |