| NPI | 1396405452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 99390) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 99390) |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2024-07-25 |