| NPI | 1750954780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN656533) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 294686) |
| 163W00000X Registered Nurse (Licence: PA 656533) | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2022-08-23 |