| NPI | 1295304145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 109977) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 132378) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2024-05-15 |