| NPI | 1912675315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1155613) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 872637) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2024-04-03 |