| NPI | 1558507004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 081304) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN293283L) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2022-03-27 |