| NPI | 1497103097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA RN643903) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 103284) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-06-10 |