| NPI | 1649360827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 36282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 162809) |
| 163W00000X Registered Nurse (Licence: WV 29279) | |
| 363L00000X Nurse Practitioner (Licence: NC 162809) | |
| 363L00000X Nurse Practitioner (Licence: FL 3363082) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-07-31 |