| NPI | 1619695285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN677877) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN677877) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2024-01-31 |