| NPI | 1922404011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN605493) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 103643) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2022-05-02 |