| NPI | 1588252605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN646948) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 135790) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-05-30 |