| NPI | 1205474541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA rn701057) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 136537) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2022-01-24 |