| NPI | 1295309342 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024182294) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001291054) | 
| Enumeration Date | 2021-05-13 | 
| Last Update Date | 2021-10-04 |