| NPI | 1841769106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177421) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 716982) |
| 163W00000X Registered Nurse (Licence: VA 0001249229) | |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2019-10-29 |