| NPI | 1154743862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN316108L) |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital Rural (Licence: PA 101367) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2023-09-13 |