| NPI | 1033651633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024174615) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001268610) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2019-05-25 |