| NPI | 1932196920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 019405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN168320L) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2011-07-19 |