| NPI | 1972854511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 273868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 784776) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 21506) | |
| Enumeration Date | 2012-09-23 |
| Last Update Date | 2022-07-21 |