| NPI | 1912894171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1207218) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9515075) |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-07-29 |