| NPI | 1730124322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN270245L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 284374) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2021-07-21 |