| NPI | 1437740982 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024180857) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001274958) | 
| Enumeration Date | 2021-01-28 | 
| Last Update Date | 2021-01-28 |