| NPI | 1689231441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 103622) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 93432) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2022-12-18 |