| NPI | 1053604470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024169467) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001185515) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2020-12-22 |