| NPI | 1225666977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN678983) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R192424) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2022-10-18 |