| NPI | 1386642916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN575414) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 446537-1) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2018-03-26 |