| NPI | 1497255822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024179043) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001293873) |
| 163W00000X Registered Nurse (Licence: PA RN662970) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 118278) | |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2021-02-19 |