| NPI | 1770048514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024186337) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 317017) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6172) | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2023-10-23 |