| NPI | 1265471387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 92288) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA VP004983W) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2024-04-04 |