| NPI | 1699475517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN512192L) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN512192L) |
| 163W00000X Registered Nurse (Licence: PA RN512192L) | |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-11-27 |