| NPI | 1902336423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN626530) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN626530) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2020-10-12 |