| NPI | 1154325736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024165645) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001154468) |
| 164W00000X Licensed Practical Nurse (Licence: VA 0024165645) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2023-05-23 |