| NPI | 1770556896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 36659) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA SP004405B) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2015-02-20 |