| NPI | 1003470063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 809361) |
| 363L00000X Nurse Practitioner (Licence: VA 0024177709) | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2021-03-08 |