| NPI | 1174991087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1031221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 629691) |
| 163W00000X Registered Nurse (Licence: VA 0001241844) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY 629691) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024176529) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC002093) | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2023-07-17 |