| NPI | 1235133026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN293770L) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA TP006194C) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2019-09-13 |