| NPI | 1700832680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ RN161455) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0666) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN512054L) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-10-02 |