| NPI | 1053884650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 118105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001181471) |
| 363L00000X Nurse Practitioner (Licence: VA 0024177110) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 006851) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2022-06-03 |