| NPI | 1053739839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 93294) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 73642) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2018-06-19 |