NPI | 1033631734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R259557) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP018096) |
363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024174617) | |
Enumeration Date | 2017-07-13 |
Last Update Date | 2025-08-29 |