| NPI | 1376936161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN640433) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN640433) |
| 163W00000X Registered Nurse (Licence: MD R189291) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2021-04-20 |