| NPI | 1063750354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024176530) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R092738) |
| 163W00000X Registered Nurse (Licence: FL 9322361) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C002954) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 61353) | |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2020-10-23 |