| NPI | 1851988356 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 135825)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN650150)  | 
| Enumeration Date | 2020-12-30 | 
| Last Update Date | 2020-12-30 |