| NPI | 1861840779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN564999) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 94031) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2023-09-28 |