| NPI | 1376183871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 115017) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN695072) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2023-06-08 |