| NPI | 1235321050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN503678L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 797167) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2021-11-24 |