| NPI | 1386631224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 048903) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN306821L) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2024-01-29 |