| NPI | 1194781096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN288556L) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: PA RN288556L) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2019-08-16 |