| NPI | 1518442904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 14344804) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VA 1267553) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2019-03-04 |