| NPI | 1659711505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 73247) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 294001) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2022-07-21 |