| NPI | 1447204771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024168098) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001216445) |
| 174400000X Specialist (Licence: FL 9238846) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO SRA100082) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2021-03-31 |