| NPI | 1407507155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024183610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001251458) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-05-18 |