| NPI | 1740578939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9354647) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 087153) |
| 163W00000X Registered Nurse (Licence: WV 52422) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2021026750) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2023-05-30 |