| NPI | 1619928702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN592851) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 2872022) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2016-07-20 |