| NPI | 1629669791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 136154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN665067) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN665067) | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-05-19 |