| NPI | 1184314304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024187546) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001320358) |
| 163W00000X Registered Nurse (Licence: OH RN.436322) | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-07-12 |