| NPI | 1972907103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP126682) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CO L-318354) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2025-08-01 |