| NPI | 1093162273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN651565) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R200384) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2024-10-15 |