| NPI | 1144839762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R263370) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024180012) |
| 163W00000X Registered Nurse (Licence: VA 0001296603) | |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2024-07-10 |