| NPI | 1790118255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171482) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001237125) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2014-03-14 |