| NPI | 1144791708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 81129) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: WV 81129) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2020-09-20 |