| NPI | 1932659802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1095416) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 113387) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2024-02-20 |