| NPI | 1316335300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024180813) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 88230) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN626424) | |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2023-06-27 |