| NPI | 1154793719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 109363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 77260) |
| 163W00000X Registered Nurse (Licence: PA RN586328) | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2017-03-02 |