| NPI | 1265240592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN709595) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 153128) |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2025-01-03 |