| NPI | 1538667241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN637983) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN637983) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 120749) | |
| Enumeration Date | 2018-01-28 |
| Last Update Date | 2023-03-02 |