| NPI | 1659625200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 92113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN587635) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2021-03-05 |