| NPI | 1316583859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN683683) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA 136305) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2024-04-21 |