| NPI | 1326884024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024190555) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: VA 0024190555) |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |