| NPI | 1588801617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 081277) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN56383) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2013-03-25 |