| NPI | 1720036965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 42882) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 42882) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2009-10-13 |