| NPI | 1366417800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management (Licence: PA RN507559L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN507559L) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2008-01-08 |