| NPI | 1285704726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 53978) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 57549) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2015-04-27 |