| NPI | 1720363823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN577974) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R196780) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2023-11-02 |