| NPI | 1518412865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024174196) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 231899) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2019-01-15 |