| NPI | 1780314948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024190443) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R238201) |
| 163W00000X Registered Nurse (Licence: DC RN1044960) | |
| Enumeration Date | 2022-06-12 |
| Last Update Date | 2024-08-08 |