| NPI | 1104466150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R214784) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN723931) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2023-02-24 |