| NPI | 1730450123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 81402) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 89352) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2020-04-14 |