| NPI | 1235890336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 94487) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 94487) |
| 163W00000X Registered Nurse (Licence: PA RN683016) | |
| Enumeration Date | 2022-01-01 |
| Last Update Date | 2024-11-07 |