| NPI | 1255861266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 310020) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 112442) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2023-02-14 |