| NPI | 1215509708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 685398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN685398) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2022-05-25 |