| NPI | 1609217041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN521952L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 515504-1) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2021-10-25 |