| NPI | 1992439632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 211896) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1016340) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0999824-CRNA) | |
| Enumeration Date | 2022-07-09 |
| Last Update Date | 2024-08-09 |