| NPI | 1013958081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN269683L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN269683L) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN178813) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-04-17 |