| NPI | 1780277004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN635492) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 762778-1) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-06-10 |