| NPI | 1629064902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN303508L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 070973) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2008-04-22 |