| NPI | 1912594417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN783514) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R207011) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2024-02-28 |