| NPI | 1508596826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 119371) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WV 92107) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2024-06-25 |