| NPI | 1952792558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN556710) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 105610) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2022-11-18 |