| NPI | 1659713196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024186458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 216444) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 100960) | |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2023-04-20 |