| NPI | 1831724301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024179357) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001239378) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-08-19 |