| NPI | 1336556380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3012083) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001275914) |
| 163W00000X Registered Nurse (Licence: NY 612460) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024175448) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 612460) | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2019-07-25 |