| NPI | 1205609583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 147947) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: PA RN682976) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-12-27 |