| NPI | 1821197203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 70067) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 50592) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-07-21 |