| NPI | 1568756229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 660703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 5349730) |
| 163W00000X Registered Nurse (Licence: PA RN596280) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 88733) | |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2021-12-06 |