| NPI | 1962989327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 149529) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 947417) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2024-07-15 |