| NPI | 1396773487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN348827L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R139381) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2021-10-18 |