| NPI | 1700872512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 073188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN540112) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2013-04-05 |