| NPI | 1427247253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV APRN58700) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 077859) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2021-05-07 |