| NPI | 1710934104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 436122-1) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA TLRN022246) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2023-03-29 |