| NPI | 1134393697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024196242) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 54232) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2026-02-09 |