| NPI | 1366915852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN624199) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 624199) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-06-10 |