| NPI | 1215118864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN559481) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 077842) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2024-03-06 |