| NPI | 1467424242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024052029) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001052029) |
| 363L00000X Nurse Practitioner (Licence: VA 0024052029) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2010-01-14 |