| NPI | 1245387224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN283094L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC TP100430) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-06-10 |