| NPI | 1912644519 |
|---|---|
| Professional Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN674137) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN674137) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-08-19 |