| NPI | 1487126967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN655507) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R191128) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2021-09-09 |