| NPI | 1942049689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1169345) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 203397) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2025-01-08 |