| NPI | 1053851980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA TLRN074037) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 115439) |
| Enumeration Date | 2017-02-25 |
| Last Update Date | 2024-02-01 |