| NPI | 1932195740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN284139L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 045190) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2008-11-26 |