| NPI | 1386493088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024190317) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95170475) |
| 163W00000X Registered Nurse (Licence: VA 0001301385) | |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-12-13 |