| NPI | 1134668494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024174457) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001249975) |
| 363L00000X Nurse Practitioner (Licence: VA 0024174457) | |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-03-16 |