| NPI | 1902587017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN709341) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA NOTLICENSEDYET) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-10-12 |