| NPI | 1578500682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L60A00549) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA RN336781L) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN336781L) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L10036317) | |
| 367H00000X Anesthesiologist Assistant (Licence: DE L10036317) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2015-07-10 |