| NPI | 1700392917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024175896) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001277195) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2022-10-21 |