| NPI | 1942836234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1190119) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 31456) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 220307) | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2025-08-08 |