| NPI | 1013199710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN502082L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0998717-CRNA) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2024-12-04 |