| NPI | 1154081511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 24183544) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 1285926) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2022-02-07 |