| NPI | 1497304729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024180511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9308573) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11005626) | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2024-02-06 |