| NPI | 1760456339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 000113758Z) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 002413758Z) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2025-09-11 |