| NPI | 1255976064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN698355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN698355) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2021-06-02 |