| NPI | 1659788602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177510) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD RN1018733) |
| 163W00000X Registered Nurse (Licence: VA 0001242014) | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2021-04-02 |