| NPI | 1669018180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN691842) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI APRN03424) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN691842) | |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2024-08-06 |