| NPI | 1356079925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN662282) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: PA RN662282) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 139687) | |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2024-06-10 |