| NPI | 1760722631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024172393) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1018688) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: DC RN1018688) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC002200) | |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2026-01-18 |