| NPI | 1992370969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC003791) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 965445) |
| Enumeration Date | 2021-05-23 |
| Last Update Date | 2023-07-31 |