| NPI | 1366979924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024175779) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001228677) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2018-03-17 |