| NPI | 1235879198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024184562) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN643437) |
| 163W00000X Registered Nurse (Licence: MD R229524) | |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-07-20 |