| NPI | 1932946548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1176796) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-157348) |
| 163W00000X Registered Nurse (Licence: AL 1-157348) | |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-12-31 |