| NPI | 1508276809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC003001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 644480) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024172474) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2020-02-18 |