| NPI | 1508825472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN322028L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 49329) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2008-04-22 |