| NPI | 1992179295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP129932) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 741542) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2020-06-30 |