| NPI | 1629634894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 105441) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN698636) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WV 90072) | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2020-01-22 |