| NPI | 1598352494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN663724) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 663724) |
| Enumeration Date | 2020-12-26 |
| Last Update Date | 2021-05-30 |