| NPI | 1174096762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN650829) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 125425) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2023-06-21 |