| NPI | 1295701886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN507636L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 51807) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2020-10-07 |