| NPI | 1588204630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN708796) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: PA 708796) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2023-03-10 |