| NPI | 1891333175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN672615) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 176226) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 9478) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2022-08-24 |