| NPI | 1245797703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 85278) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN60796) |
| 163W00000X Registered Nurse (Licence: WV 85278) | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-03-22 |