| NPI | 1417932989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000760) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN347949L) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ NR10334800) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2021-07-12 |