| NPI | 1679710685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024168172) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 081511) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC000770) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2023-03-24 |