| NPI | 1679104905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024180788) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN656421) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2022-04-19 |