| NPI | 1558621953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN304286L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 656606) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2015-03-27 |