| NPI | 1265904874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001242548) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2021-10-26 |