| NPI | 1760111942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN684783) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 137031) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-12-16 |