| NPI | 1124728159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN563642) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA 147127) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2024-02-13 |