| NPI | 1033411566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024169186) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0001146339) |
| 367A00000X Advanced Practice Midwife (Licence: VA 367A00000X) | |
| Enumeration Date | 2010-12-05 |
| Last Update Date | 2012-12-11 |