| NPI | 1962178681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 9655869-8901) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 250728) |
| 207L00000X Anesthesiology (Licence: UT 9655869-8901) | |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2025-02-21 |