| NPI | 1972723856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN261199L) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010787) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2016-10-27 |