| NPI | 1619441847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN615263) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 125438) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-02-12 |