| NPI | 1649364159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 105763) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024167283) |
| 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: MD AC000646) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC001391) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00879900) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-10-26 |