| NPI | 1487018842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 111005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN10285) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2020-10-09 |