| NPI | 1235567470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 591368) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 591368) |
| 163W00000X Registered Nurse (Licence: PA rn625227) | |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2019-10-17 |