| NPI | 1306218938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN628297) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 628297) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2017-11-08 |