| NPI | 1972217016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1127553) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 788476) |
| 163WS0200X Registered Nurse, School (Licence: TX 788476) | |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-08-10 |