| NPI | 1225659782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN635420) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN635420) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2023-01-19 |