| NPI | 1649639899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024173620) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 6305851) |
| 163W00000X Registered Nurse (Licence: PA RN617957) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN617597) | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2017-04-18 |