| NPI | 1265094718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 124142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN716953) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2368887) | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2022-11-28 |