| NPI | 1699909051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R187644) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN323335L) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN323335L) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 24469) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2024-03-09 |